____________)
LAST DATE FOR RECEIPT OF APPLICATION FORM: 02-05-2012 (UPTO 5:00 P.M.)
Department of Computer Science, H.P. University, Shimla 171005
Centres for the appearing in Entrance Test (Indicate only one): a) H.P. University Campus, Summer Hill, Shimla b) Government College, Mandi c) Government College, Hamirpur d) H.P. University Regional Centre, Dharamshala, Kangra
(In case, the option is not given, Shimla centre will be allotted by the Office)
1. Name: ___________________________________________
(IN CAPITAL LETTERS)
Affix your duly attested recent passport size photograph here (No photocopy of photograph is allowed)
4. Date of Birth: ______________ Age on 1st July 2012: ___ Years ___ Months 5. Nationality: _____________________________6. Sex: ________
NHPU HPU 7. Graduation from HPU or Other University (Tick one of these): 8. Are you Bonafide resident of Himachal Pradesh (Tick one of these): YES NO 9. Indicate only one out of the following categories in the given box: (1)Scheduled Caste (2) Schedule Tribe (3) IRDP/Antodaya (4) General 10. Are you the only child of your parents who is a girl (Tick one of these): YES NO 11. Academic Qualifications: Examination passed Name of Board/ University Year Marks Obtained Maximum Marks %Marks* Exam** Roll No.
Matric or equivalent +2 or Equivalent B.A./B.Sc./B.COM./B CA/BIT or Equivalent Note: * Correct up to two decimal places, ** Exam Roll No. of Qualifying Examination must be given.
12. Were you ever disqualified/ suspended by the University or any other Institution from attending classes or appearing in any exam? If yes, give details: _____________________________________________________________________ _____________________________________________________________________ 13. Address for Correspondence (IN CAPITAL LETTERS): _____________________________________________________________________ _____________________________________________________________________ ______________________Telephone No. ________Mobile No.: ________________ 14. Permanent Home Address (IN CAPITAL LETTERS): _____________________________________________________________________ _____________________________________________________________________ ___________________Telephone No. ___________Mobile No.: ________________ 15. In case, you are not selected for the subsidized seat, are you interested to be considered for the non- subsidized seat (Please tick YES or NO): YES NO 16. Fee details: DD/IPO (In favour of Chairman, Department of Computer Science, H.P. University, Shimla and payable at Shimla) No. ________________________________, Dated ________ Amount: ___________ (Rs.650/- for general category and Rs.325/- for SC/ST/IRDP/ANTODAYA)
Signature of Father/ Guardian For Office Use Only 1. Diary Number: 2. Roll Number Assigned: 4: Category: 5. Internal/Open: 7. H.P. Bonafide: Yes/No 8.Marks in Qual. Exam (%): 10. Single Girl Child: Yes/No 11.Reason, if no Eligible: 12.Remarks, if any: Checked by: Signature
prospectus before filling up the applications form.
INSTRUCTIONS
Date:
NOTE: Please read carefully the following instructions and the eligibility conditions given in the
1. Affix your three latest attested passport size photographs at the appropriate places. (Xeroxed copies shall not be accepted). 2. Fill in the required information in every column accurately. Do not leave any column blank. The information supplied by the candidate especially relating to DATE OF BIRTH, CATEGORY, ONLY CHILD WHO IS A GIRL, DOMICILE, and ACADEMIC QUALIFICATION shall be treated as final and no change shall be allowed to be made in this regard at a later stage. The applications shall be scrutinized strictly according to the information supplied by the candidate and the responsibility with regard to the accuracy of the information shall lie with the candidate himself/herself supplying the marks of qualifying examination required for admission shall be the responsibility of the candidate. 3. The completed application form accompanied by duly stamped admit card, result-cum-interview card identification sheet should be sent to: The Chairman, Computer Science Department, Himachal Pradesh University, Summer Hill Shimla (H.P.) 171005. The original certificates and testimonials shall be seen only at the time of interview for admission. 4. The candidate should not attach any certificate with the application form. The attested copies of the certificates are to be deposited at the time of counseling only.
Candidates Name: ____________________________________________ Fathers Name: _______________________________________________ Specimen Signature: ___________________________________________ Exam Centre: _________________________________________________ Roll No.: _________________________ (To be assigned by the Office) INSTRUCTIONS
1 If a candidate fails to receive the roll number five days prior to the holding of the entrance test, he/she himself/ herself should enquire from the Department of Computer Science about his/ her eligibility etc. LATEST BY FOUR DAYS BEFORE THE COMMECEMENT OF THE TEST. No enquiry shall be entertained after this period. 2 This roll number is only provisional and does not ensure admission/ eligibility in the MCA course. 3 In the absence of requisite postal stamps the admit card shall not be sent to the candidate. 4 Answers must be written in blue/ black pen. Ink of any other colour is not permitted.
Department of Computer Science Himachal Pradesh University, Summer Hill, Shimla 171005
2. Fathers Name: _____________________________________________ 3. Specimen Signature of the candidate: ___________________________ (FOR OFFICE USE ONLY) 4. Entrance Test Roll No.: _______________________________ 5. Centre: ___________________
Affix your duly attested recent passport size photograph here (No photocopy of photograph is allowed)